(answered 2023) NR 602 Week 8 Final Exam Compete Solution 2023

1. Turner’s syndrome can be suspected when the patient has primary amenorrhea and Short stature and webbed neck 2. A 21-year-old woman comes into your practice seeking birth control. She has only recently become sexually active and has consistently used condoms for safe sex. Your history reveals that she does not use tampons during her menses and has very little knowledge about female reproductive anatomy. Based on this information, which of the following birth control choices would be least likely to meet her needs for contraceptive management? Nuvaring 3. The most common type of invasive breast carcinoma is Infiltrating ductal 4. Measuring waist circumference is most appropriate when the client’s BMI places her in which of the following categories? Overweight 5. The American Cancer Society recommends yearly mammogram screening beginning at age:45 6. A dancer from an adult club down the street comes in for a renewal of her birth control pill prescription. She says that everything is fine. On examination, you find grayish-white vaginal discharge, greenish cervical discharge and cervical motion tenderness. All of the following differential diagnoses except? Gonorrhea, Interstitial cystitis, Bacterial vaginosis, chlamydia 7. Which of the following contraception would be best for a woman with sickle cell anemia? Progestin-only oral contraceptives 8. During a vaginal examination, you observe bulging of the anterior wall when you ask the patient to bear down. This is most likely a Cystocele 9. When examining the cervix of a 20-year-old-female, you note that most of the cervix is pink but there is a small ring of dark-red tissue surrounding the os. This is most likely? The squamocolumnar junction 10. A sexually active 18-year-old presents with postcoital spotting, dysuria, and a yellow discharge. On exam you find her cervix is erythematous and bleeds with contact. The most likely diagnosis is Chlamydia 11. A 68-year-old female had her last cervical cancer screening done at age 65 and results were normal. She has no history of abnormal screenings. She has recently started having sexual intercourse with a new male partner and asks if she should start having cervical cancer screening again. An appropriate answer would be that she: Does not need to resume either Pap tests or HPV testing 12. A 22-year-old experiences six months of amenorrhea. Laboratory test results include normal prolactin and thyroid-stimulating hormone and negative pregnancy test. The next action will to: (Answer)Administer a progestin challenge test 13. A nurse practitioner is screening a female for prescribing contraception for the first time. Which of the following conditions is an absolute contraindication to estrogen- containing contraception? Thromboembolism 14. Characteristics of polycystic ovary syndrome include: Premenarchial onset, obesity, hyperinsulinemia 15. According to USPSTF recommendations, an 80-year-old female should have: Neither a clinical breast examination nor a screening mammogram 16. A 36-year-old- is seen in your office on day 18 of her cycle for her routine annual examination. She has no complaints. Pelvic exam reveals a 9-cm- firm pelvic mass anterior to the uterus. The most likely diagnosis is: Benign cystic teratoma 17. Typical characteristics of vulvodynia include: Constant vulvar burning and discomfort 18. If you diagnose a cervical gonoccocal infection, which other infection is probably present? Chlamydia 19. HPV testing is indicated for a (n) 30-year-old-female with no history of genital warts as adjunct to routine Pap test. 20. A vaginal pH less than 4.5 is an expecting finding in a: Healthy reproductive-age woman 21. USPSTF recommendations for routine breast cancer screening include: Biennial mammograms starting at age 50 22. The new ACOG pap smear guidelines reflect a change in all of the following except: The age at which Pap smears are initiated, The frequency of Pap smear screening, The follow-up to abnormal Pap smear results, The endpoint for pap smear testing 23. A 16-year-old- woman has not yet begun menstruating but does have pubic hair. She is best described as having: Primary amenorrhea 24. Dysfunctional uterine bleeding is usually associated with Anovulation 25. A 17-year-old client presents at the clinic with the following reason for seeking care. “I have been sick for three days. I feel sick to my stomach and I have diarrhea”. Which of the following would be most appropriate to document as her reason for her visit/chief complaint? “I feel sick to my stomach and I have diarrhea”